Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,835.20 / $8,229.00	Facility		$860.00	$1,835.20	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,669.52 / $1,904.63 / $2,291.48	Professional		$1,669.52	$1,904.63	$2,291.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,382.04 / $1,674.72 / $2,664.60	Professional		$1,382.04	$1,674.72	$2,664.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,616.16 / $2,218.26 / $2,558.92	Facility		$1,616.16	$2,218.26	$2,558.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,218.26 / $3,168.94	Professional		$1,548.82	$2,218.26	$3,168.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,951.54 / $1,951.54 / $2,189.94	Facility		$1,951.54	$1,951.54	$2,189.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,825.69 / $2,338.44 / $3,485.24	Professional		$1,825.69	$2,338.44	$3,485.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,578.07 / $2,338.44 / $3,420.80	Professional		$1,578.07	$2,338.44	$3,420.80